| NPI | 1912351792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REAGAN FRANCES GIELINCKI Owner 801-388-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |